Licensed denturists must adhere to the following practice standards:
(1) Oral Health Certificate. Denturists must either have an oral pathology endorsement on their license, or if they have not qualified for and received the endorsement, must comply with requirements for obtaining an Oral Health Certificate as described in ORS 680.545 and OAR 331-410-0080.
(2) Patient Record. A licensed denturist must record, update and maintain documentation for each patient relevant to health history, clinical examinations and treatment, and financial data. Documentation must be written or computerized. Records must include but are not limited to the following:
(a) Patient data, including name, address, date and description of examination;
(b) Evidence of informed consent (may be in the form of an acronym such as "PARQ" to denote procedure, alternatives, risks and questions);
(c) Date and description of treatment or services rendered, and any treatment complications;
(d) Health history as applicable; and
(e) Any other information deemed appropriate to patient care.
(3) Clinical Examination. Licensed denturists must conduct and record a clinical examination of each patient that will include at a minimum, information relative to:
(a) Appearance of gingiva, oral mucosal membranes, pharynx, tongue and all other oral soft tissue; and
(b) Oral conditions that may affect successful denture construction and use.
(4) Record Retention. Patient documentation, written or archived electronically by computer, must be retained for a minimum of seven years and available upon request by the Agency.
(5) Minimum Standards of Acceptable Patient Care. Licensees must adhere to the following practice standards in rendering acceptable patient care:
(a) Maintain accurate patient records;
(b) Seek consultation/referral if indicated;
(c) Make accurate representation to the patient on services provided;
(d) Provide or arrange for continuity of care or emergency treatment for a patient currently receiving treatment;
(e) Adhere to current denture technology practices and standards including use of materials;
(f) Adhere to Centers for Disease Control and Prevention infection control standards and practices;
(g) Wash hands using a germicidal or antiseptic soap and water before and after every patient;
(h) Wear disposable gloves when coming in direct contact with a patient or when handling instruments or equipment contaminated with blood or other potentially infectious materials.
(i) Use new gloves before performing procedures on each patient.
(6) A denturist providing teeth whitening trays to patients must provide the patient with written and verbal information related to teeth whitening trays and teeth whitening solutions including the procedure, alternatives, risks and questions which is prescribed by the Agency. The denturist must obtain patient consent for the procedure described in this rule and retain in patient record. The Agency prescribed information and informed consent for teeth whitening trays and solutions can be accessed on the Agency Website at http://www.oregon.gov/OHLA/DT/pages/index.aspx
(7) A denturist is prohibited from providing patients prescription strength teeth whitening solutions.
Stat. Auth.: ORS 676.605, 676.615, 680.550
Stats. Implemented: ORS 676.605, 676.615, 680.550 & 680.565
Hist.: HD 4-1988, f. & cert. ef. 3-4-88; HD 4-1989, f. & cert. ef. 6-1-89; HD 13-1991(Temp), f. & cert. ef. 9-30-91; HD 3-1992, f. & cert. ef. 3-25-92, Subsections (9)(a) through (h) renumbered to 333-020-0090 and 333-020-0100; HD 22-1993, f. 12-30-93, cert. ef. 1-1-94; HDLP 3-1998, f. 6-26-98, cert. ef. 7-1-98, Renumbered from 333-020-0085; HLO 1-2003, f. 1-21-03, cert. ef. 2-1-03; HLO 2-2004, f. 6-29-04, cert. ef. 7-1-04; HLA 10-2013, f. & cert. ef. 7-1-13
Practice Standards for Business Premises
(1) A licensed denturist must:
(a) Ensure all areas of the business premises where denture technology is practiced are kept clean and in good repair;
(b) Have a sterilization area, where cleaning and sterilization of reusable instruments is performed, separated from public areas, service areas and restrooms;
(c) Maintain washing accommodations in a clean and sanitary condition;
(d) Ensure all floors, walls and procedure surfaces where services are provided including counters, tables, and chairs are easily cleanable, non-absorbent and non-porous;
(e) Ensure pets or other animals are not permitted in the business facility. This prohibition does not apply to service animals recognized by the American with Disabilities Act;
(f) Ensure all disinfecting solutions or agents be kept at adequate strengths according to manufacturer’s instructions to maintain effectiveness, be free of foreign material and be available for immediate use at all times the business is open;
(g) Use equipment and instruments in a manner described in the manufacturer’s instructions which is consistent with the manufacturer’s intended use of the device by the FDA;
(h) Ensure chemicals are stored in labeled, closed containers;
(i) Ensure all waste material contaminated with blood or other potentially infectious materials, with exception of sharps, are deposited in a covered container following service for each patient; and
(j) Ensure all sharps are discarded in a sharps container which is a puncture-resistant, leak-proof container that can be closed for handling, storage, transportation, and disposal. The container must be labeled with the "Biohazard" symbol.
(2) The licensee must comply with all applicable rules and regulations of the Agency and other federal, state, county and local agencies. This includes the following:
(a) Building, fire, plumbing and electrical codes, and with exit and fire standards established by the Oregon Building Codes Division, and the Oregon Office of State Fire Marshal;
(b) Oregon Indoor Clean Air Act as it appears in ORS 433.835 through 433.875;
(c) Occupational Safety and Health Act Blood Borne Pathogens Standards, Universal Precautions and Exposure Control Plan under 29 CFR 1910.1030;
(d) Oregon Safe Employment Act pursuant to ORS Chapter 654 if an employee/employer relationship exists; and
(e) All applicable Occupational Safety and Health Act standards if an employee/employer relationship exists.
(f) All applicable recommendations from the Centers for Disease Control and Prevention including Guidelines for Infection Control in Dental Health Care Settings available at http://www.cdc.gov/oralhealth/Infectioncontrol/guidelines/index.htm.
(3) For the purpose of this rule "Sharps" means any object that can penetrate the skin, including but not limited to needles or scalpel blades.
(4) A licensee must ensure all procedures performed are done in a manner to avoid cross contamination of blood borne pathogens.
[Publications: Publications referenced are available from the agency.]
Stat. Auth.: ORS 680.550
Stats. Implemented: ORS 680.550 & 680.565
Hist.: HD 13-1991(Temp), f. & cert. ef. 9-30-91; HD 3-1992, f. & cert. ef. 3-25-92, Renumbered from 333-020-0085(9)(a) through (h); HD 22-1993, f. 12-30-93, cert. ef. 1-1-94; HDLP 3-1998, f. 6-26-98, cert. ef. 7-1-98, Renumbered from 333-020-0090; HLO 1-2003, f. 1-21-03 cert. ef. 2-1-03; HLA 10-2013, f. & cert. ef. 7-1-13; HLA 6-2014, f. 9-30-14, cert. ef. 10-1-14
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